Healthy Skepticism Library item: 11373

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Fry MM, Dacey C.
Factors contributing to incidents in medicine administration. Pt 2
Br J Nurs. 2007 Jun 14-27; 16:(11):676-81
http://www.ncbi.nlm.nih.gov/sites/entrez?Db=PubMed&Cmd=ShowDetailView&TermToSearch=17577187&ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum

Abstract:

The lack of empirical research on nurses’ views of the factors contributing to medication errors, and particularly of studies conducted in the UK, formed the starting point for this study. Part 2 of this two-part article aims to inform the wider nursing population about the views of nurses working in the medicine directorate of a large London teaching hospital, and to explore the reporting of medication incidents and the effect of this on the practice of the nurses involved. Quantitative results of a self-administered questionnaire indicated that this group of nurses felt that the most important factors contributing to medication incidents were interruptions by patients and relatives/visitors and telephone calls during the process of administration. Suggested ways of reducing errors were ‘protected’ medicine rounds, unique or distinct packaging of medications and regular revision sessions on mathematical calculations. These nurses’ views confirmed that factors identified in the literature as contributing to medication incidents were problematic for them too. Simple changes to practice could help to reduce the number of such incidents.

Keywords:
MeSH Terms: Attitude of Health Personnel* Chi-Square Distribution Clinical Competence/standards Cross-Sectional Studies Drug Packaging Follow-Up Studies Health Facility Environment Health Knowledge, Attitudes, Practice Hospitals, Teaching Humans London Medication Errors/methods* Medication Errors/nursing* Medication Errors/prevention & control Medication Errors/statistics & numerical data Medication Systems, Hospital/organization & administration Nursing Methodology Research Nursing Staff, Hospital/education Nursing Staff, Hospital/organization & administration Nursing Staff, Hospital/psychology* Questionnaires Risk Assessment Risk Factors Risk Management/organization & administration Self Efficacy Systems Analysis Workload

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909